FORM 1023-EZ for DARYEEL HEALTH SERVICES

Field Data
EIN 47-1881236
Case Number EO-2014265-000374
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DARYEEL HEALTH SERVICES
Organization’s Mailing Address 2275 SNELLING AVE N STE 105
City ROSEVILLE
State MN
ZIP 55113
Accounting period End 12
Primary contact name HAWA AHMED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HAWA AHMED
CHAIR
2275 SNELLING AVE N STE 105
ROSEVILLE MN 55113

Officer/Director/Trustee Two

ABDULSAMA WARSAME
SECRETARY
2275 SNELLING AVE N STE 105
ROSEVILLE MN 55113

Officer/Director/Trustee Three

ABDIWALE HUSSEN
TREASURER
2275 SNELLING AVE N STE 105
ROSEVILLE MN 55113

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2014
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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